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NB Hot Topics Podcast

S5 E5: Interview with Prof Hazel Everitt - amitriptyline for IBS; methotrexate for hand OA; leaflets for LUTs

Dec 1, 2023
Prof. Hazel Everitt, a GP and lead author on a significant study regarding amitriptyline for IBS, joins the discussion. She shares insights into how low-dose amitriptyline can effectively manage IBS symptoms. The conversation also dives into the controversial use of methotrexate for hand osteoarthritis, revealing the complexities of pain management. Additionally, they explore a patient information leaflet aimed at alleviating lower urinary tract symptoms and whether such resources can be more beneficial than traditional medications. Empowering patients remains a key focus.
36:25

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Quick takeaways

  • Amitriptyline has shown significant effectiveness in improving IBS symptoms and may be considered a viable second-line treatment option.
  • Research on methotrexate suggests it offers moderate pain relief for hand osteoarthritis, emphasizing the need for further long-term studies.

Deep dives

The Impact of Amitriptyline on Irritable Bowel Syndrome

Research indicates that amitriptyline can significantly improve symptoms associated with irritable bowel syndrome (IBS). A large randomized controlled trial demonstrated that low doses of the medication led to better outcomes compared to a placebo. Participants noted improvements in IBS symptoms, suggesting that amitriptyline functions primarily as a neuromodulator rather than an antidepressant. The findings advocate for considering amitriptyline as a second-line treatment option for patients who do not respond to first-line therapies.

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